Intergovernmental Personnel Act Assignment Agreement Completion
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A
SSIGNMENT
A
GREEMENT
T
ITLE
IV
OF
THE
I
NTERGOVERNMENTAL
P
ERSONNEL
A
CT
OF
1970 (5 U
NITED
S
TATES
C
ODE
(U.S.C.) 3371 – 3376)
Completion of Optional Form 69/IPA
Nonprofit Program Office – 2013
Office of Research and Development
I
NSTRUCTIONS
P
ART
1-3
N
ATURE
OF
A
SSIGNMENT
Modification
New
Agreement
Extension
The nature of the assignment is determined by:
•
New Agreement
•
Modification
•
Extension
P
ART
1-3
N
ATURE
OF
A
SSIGNMENT
–
NEW
AGREEMENT
New
Agreement
Part 2 – Block 5A
NO
(Employee has
not been on an
IPA previously)
Part 2 – Block 5B Dates are left Blank
(employee has not been on an IPA previously)
P
ART
1-3
N
ATURE
OF
A
SSIGNMENT
-
MODIFICATION
Modification
Time period covered on all previous IPA (s)
P
ART
1-3
N
ATURE
OF
A
SSIGNMENT
-
EXTENSION
Extension
Date (s) vary based on IPA History
P
ART
1-3
P
ARTIES
TO
THE
A
GREEMENT
Part 3 - Block 6
An IPA is NEVER between
the University and the NPC
The IPA is ALWAYS with a
Federal Agency
Part 3 - Block 8
This is an Unusual Occurrence for the NPC
Part 3 - Block 7
This block will always be the local NPC
P
ART
4 –
P
OSITION
DATA
–P
OSITION
C
URRENTLY
H
ELD
Best Practice:
Part 4 - Block 12
Matthew McConaughey, PI
Actual Signature
Part 4 - Block 10 Must Be Completed.
Examples of hard-to-fill positions: Statistician,
Chemist, Nurse Coordinator, Scientist
P
ART
4 –
P
OSITION
DATA
- T
YPE
OF
CURRENT
APPOINTMENT
This is an unusual occurrence for the NPC
P
ART
4 –
P
OSITION
DATA
–T
YPE
OF
CURRENT
APPOINTMENT
How do we arrive at $31,200 annually?
$15hr X 80hr bi-weekly X 26 pay periods = $31,200
At least 90 Days prior to the start of IPA
P
ART
4 –
P
OSITION
DATA
–
POSITION
TO
WHICH
ASSIGNMENT
WILL
BE
MADE
Part 4 - Block 18
Matthew McConaughey, PI
and Original Signature
Part 4 - Block 16 Must Be Completed.
Examples of hard-to-fill positions: Statistician,
Chemist, Nurse Coordinator, Scientist
P
ART
5
TYPE
OF
ASSIGNMENT
Varies based
on
appointment
Individuals on IPAs will not be given WOC appointments as liability issues are covered in the
IPA legislation (5 U.S.C. 3374)
P
ART
5
TYPE
OF
ASSIGNMENT
This Date should be at least 90 days after
the date entered in Part 4 - Block 14
The IPA can
NEVER exceed
two years
P
ART
6
R
EASON
FOR
MOBILITY
ASSIGNMENT
P
ART
7 –
P
OSITION
DESCRIPTION
P
ART
8 –
E
MPLOYEE
BENEFITS
Part 8 – Block 23 Indicate hourly, bi-weekly
or annual salary
NPC NURSE
IPA NURSE
NPC CHEMIST
IPA CHEMIST
P
ART
9 –
F
ISCAL
OBLIGATIONS
Part 9 - Block 26 State the specific percentage of
employees salary
Fringe Benefits
(based on actual costs)
The NPC will always
calculate
including
all leave.
P
ART
9 –
F
ISCAL
OBLIGATIONS
Fringe Benefits
(based on actual costs)
The NPC should
consider all costs
including retirement,
health insurance,
worker’s
compensation
insurance, annual
leave, etc..
P
ART
9 –
F
ISCAL
OBLIGATIONS
The cost center is a sub-organization where costs are incurred and
responsibility is fixed on the organizations management. These cost
centers are distinguished by area of responsibility and are symbolized by a
four-to-six digit code used to identify the organizational elements
throughout the VA.
Part 9 – Block 27 The NPC will
submit (monthly or quarterly)
the invoice to cost center #123
P
ART
9 - F
ISCAL
OBLIGATIONS
Always include the entire mailing address
P
ART
10 –
C
ONFLICTS
OF
INTEREST
AND
EMPLOYEE
CONDUCT
Self-Explanatory
P
ART
11 –
OPTIONS
IPA employees do not receive federal benefits
Nurse
Nurse
P
ART
12 –
T
RAVEL
AND
TRANSPORTATION
EXPENSES
AND
ALLOWANCES
In the Event of Travel
Standard NPC Travel Policy Applies
P
ART
13 –
A
PPLICABILITY
OF
RULES
,
REGULATIONS
AND
POLICIES
A – B – C - D
Apply to the IPA
E
Not normally part of IPA agreements between VA and NPC
P
ART
14 –
C
ERTIFICATION
OF
ASSIGNED
EMPLOYEE
Employee Signs and Date
Part 14 - Block 35
Local NPC
Part 14 - Block 36
Same Date as
Part 5 - Block 20
P
ART
15 –
C
ERTIFICATION
OF
APPROVING
OFFICIALS
Sign and Date Prior to from Date identified in Part 5 Block 20
P
RIVACY
ACT
STATEMENT
TITLE 5--ADMINISTRATIVE PERSONNEL
CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT
PART 334 TEMPORARY ASSIGNMENTS UNDER THE INTERGOVERNMENTAL
PERSONNEL ACT (IPA)
This document outlines the completion process for an assignment agreement under Title IV of the Intergovernmental Personnel Act of 1970, detailing the nature of assignment, new agreements, modifications, extensions, parties involved, position data, and current appointments. It provides guidance on completing the form for IPAs undertaken by non-profit entities in 2013. The document emphasizes the roles of federal agencies and local NPCs in the agreement process. It also highlights the importance of specifying position details and current appointments in the document.
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Presentation Transcript
ASSIGNMENTAGREEMENT TITLE IV OF THE INTERGOVERNMENTAL PERSONNELACT OF 1970 (5 UNITED STATES CODE (U.S.C.) 3371 3376) Completion of Optional Form 69/IPA Nonprofit Program Office 2013 Office of Research and Development
PART 1-3 NATUREOF ASSIGNMENT New Modification Extension Agreement The nature of the assignment is determined by: New Agreement Modification Extension
PART 1-3 NATUREOF ASSIGNMENT NEWAGREEMENT Part 2 Block 5A NO New (Employee has not been on an IPA previously) Agreement Part 2 Block 5B Dates are left Blank (employee has not been on an IPA previously)
PART 1-3 NATUREOF ASSIGNMENT - MODIFICATION Modification Time period covered on all previous IPA (s)
PART 1-3 NATUREOF ASSIGNMENT - EXTENSION Extension Date (s) vary based on IPA History
PART 1-3 PARTIESTOTHE AGREEMENT Part 3 - Block 6 An IPA is NEVER between the University and the NPC The IPA is ALWAYS with a Federal Agency Part 3 - Block 7 This block will always be the local NPC Part 3 - Block 8 This is an Unusual Occurrence for the NPC
PART 4 POSITIONDATA POSITION CURRENTLY HELD Part 4 - Block 10 Must Be Completed. Examples of hard-to-fill positions: Statistician, Chemist, Nurse Coordinator, Scientist Best Practice: Part 4 - Block 12 Matthew McConaughey, PI Actual Signature
PART 4 POSITIONDATA - TYPEOFCURRENTAPPOINTMENT This is an unusual occurrence for the NPC
PART 4 POSITIONDATA TYPEOFCURRENTAPPOINTMENT At least 90 Days prior to the start of IPA How do we arrive at $31,200 annually? $15hr X 80hr bi-weekly X 26 pay periods = $31,200
PART 4 POSITIONDATA POSITIONTOWHICHASSIGNMENTWILLBEMADE Part 4 - Block 16 Must Be Completed. Examples of hard-to-fill positions: Statistician, Chemist, Nurse Coordinator, Scientist Part 4 - Block 18 Matthew McConaughey, PI and Original Signature
PART 5 TYPEOFASSIGNMENT Individuals on IPAs will not be given WOC appointments as liability issues are covered in the IPA legislation (5 U.S.C. 3374) Varies based on appointment
PART 5 TYPEOFASSIGNMENT This Date should be at least 90 days after the date entered in Part 4 - Block 14 The IPA can NEVER exceed two years
PART 6 REASONFORMOBILITYASSIGNMENT
PART 7 POSITIONDESCRIPTION
PART 8 EMPLOYEEBENEFITS Part 8 Block 23 Indicate hourly, bi-weekly or annual salary NPC CHEMIST IPA NURSE IPA CHEMIST NPC NURSE
PART 9 FISCALOBLIGATIONS Fringe Benefits (based on actual costs) The NPC will always calculate including all leave. Part 9 - Block 26 State the specific percentage of employees salary
PART 9 FISCALOBLIGATIONS Fringe Benefits (based on actual costs) The NPC should consider all costs including retirement, health insurance, worker s compensation insurance, annual leave, etc..
PART 9 FISCALOBLIGATIONS Part 9 Block 27 The NPC will submit (monthly or quarterly) the invoice to cost center #123 The cost center is a sub-organization where costs are incurred and responsibility is fixed on the organizations management. These cost centers are distinguished by area of responsibility and are symbolized by a four-to-six digit code used to identify the organizational elements throughout the VA.
PART 9 - FISCALOBLIGATIONS Always include the entire mailing address
PART 10 CONFLICTSOFINTERESTANDEMPLOYEE CONDUCT Self-Explanatory
PART 11 OPTIONS IPA employees do not receive federal benefits Nurse Nurse
PART 12 TRAVELANDTRANSPORTATIONEXPENSESAND ALLOWANCES In the Event of Travel Standard NPC Travel Policy Applies
PART 13 APPLICABILITYOFRULES, REGULATIONSANDPOLICIES A B C - D Apply to the IPA E Not normally part of IPA agreements between VA and NPC
PART 14 CERTIFICATIONOFASSIGNEDEMPLOYEE Part 14 - Block 36 Same Date as Part 5 - Block 20 Part 14 - Block 35 Local NPC Employee Signs and Date
PART 15 CERTIFICATIONOFAPPROVINGOFFICIALS Sign and Date Prior to from Date identified in Part 5 Block 20
PRIVACYACTSTATEMENT TITLE 5--ADMINISTRATIVE PERSONNEL CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT PART 334 TEMPORARY ASSIGNMENTS UNDER THE INTERGOVERNMENTAL PERSONNEL ACT (IPA)
